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Consumption of fruit and vegetables in relation with psychological disorders in Iranian adults.
Eur J Nutr 2018; 57(6):2295-2306EJ

Abstract

OBJECTIVE

Findings from observational studies on the relationship between fruit and vegetables consumption and risk of mental disorders are contradictory. We aimed to examine the association between fruit and vegetables intake and prevalence of depression, anxiety, and psychological distress in a large group of Iranian adults.

METHODS

This cross-sectional study was conducted on 3362 people of Iranian adults working in 50 health centers. Dietary data were collected using a validated dish-based 106-item semi-quantitative food frequency questionnaire (FFQ). The Iranian-validated version of Hospital Anxiety and Depression Scale (HADS) was used to screen for anxiety and depression. The General Health Questionnaire (GHQ) was used to assess psychological distress.

RESULTS

The prevalence of depression, anxiety, and high psychological distress among the study population was 30.0, 15.2, and 25.0%, respectively. Women in the top quintile of fruit intake, compared with those in the bottom quintile, had 57, 50, and 60% lower odds of depression, anxiety, and psychological distress. Consumption of vegetables was significantly associated with lower odds of depression (OR 0.65; 95% CI 0.46, 0.93) in women and lower odds of anxiety (OR 0.43; 95% CI 0.22, 0.87) in men. In addition, after adjustment for potential confounders, women in the highest quintile of fruit and vegetables intake, compared with those in the bottom quintile, had significantly lower odds of depression (OR 0.55; 95% CI 0.37, 0.80) and psychological distress (OR 0.60; 95% CI 0.40, 0.90). Furthermore, high intake of total fruit and vegetables was associated with lower odds of psychological distress (OR 0.42; 95% CI 0.21, 0.81) in men.

CONCLUSION

We found significant inverse associations between high intake of fruit with depression, anxiety, and psychological distress in Iranian women. High consumption of vegetables was also associated with lower risk of depression and anxiety, respectively, in women and men. In addition, high intake of total fruit and vegetable was associated with lower odds of depression and psychological distress in women and men.

Authors+Show Affiliations

Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran. Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran. Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran.Department of Medicine, University of Alberta, Edmonton, Alberta, Canada. Integrative Functional Gastroenterology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.Department of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.Department of Psychiatry, Psychosomatic Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran. siassif@sina.tums.ac.ir.Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran. a-esmaillzadeh@sina.tums.ac.ir. Obesity and Eating Habits Research Center, Endocrinology and Metabolism Molecular-Cellular Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran. a-esmaillzadeh@sina.tums.ac.ir. Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran. a-esmaillzadeh@sina.tums.ac.ir.Integrative Functional Gastroenterology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran. Department of Internal Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

Pub Type(s)

Journal Article
Observational Study

Language

eng

PubMed ID

29508137

Citation

Saghafian, Faezeh, et al. "Consumption of Fruit and Vegetables in Relation With Psychological Disorders in Iranian Adults." European Journal of Nutrition, vol. 57, no. 6, 2018, pp. 2295-2306.
Saghafian F, Malmir H, Saneei P, et al. Consumption of fruit and vegetables in relation with psychological disorders in Iranian adults. Eur J Nutr. 2018;57(6):2295-2306.
Saghafian, F., Malmir, H., Saneei, P., Keshteli, A. H., Hosseinzadeh-Attar, M. J., Afshar, H., ... Adibi, P. (2018). Consumption of fruit and vegetables in relation with psychological disorders in Iranian adults. European Journal of Nutrition, 57(6), pp. 2295-2306. doi:10.1007/s00394-018-1652-y.
Saghafian F, et al. Consumption of Fruit and Vegetables in Relation With Psychological Disorders in Iranian Adults. Eur J Nutr. 2018;57(6):2295-2306. PubMed PMID: 29508137.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Consumption of fruit and vegetables in relation with psychological disorders in Iranian adults. AU - Saghafian,Faezeh, AU - Malmir,Hanieh, AU - Saneei,Parvane, AU - Keshteli,Ammar Hassanzadeh, AU - Hosseinzadeh-Attar,Mohammad Javad, AU - Afshar,Hamid, AU - Siassi,Fereydoun, AU - Esmaillzadeh,Ahmad, AU - Adibi,Peyman, Y1 - 2018/03/05/ PY - 2017/02/04/received PY - 2018/02/28/accepted PY - 2018/3/7/pubmed PY - 2018/12/19/medline PY - 2018/3/7/entrez KW - Anxiety KW - Depression KW - Distress KW - Fruit KW - Vegetables SP - 2295 EP - 2306 JF - European journal of nutrition JO - Eur J Nutr VL - 57 IS - 6 N2 - OBJECTIVE: Findings from observational studies on the relationship between fruit and vegetables consumption and risk of mental disorders are contradictory. We aimed to examine the association between fruit and vegetables intake and prevalence of depression, anxiety, and psychological distress in a large group of Iranian adults. METHODS: This cross-sectional study was conducted on 3362 people of Iranian adults working in 50 health centers. Dietary data were collected using a validated dish-based 106-item semi-quantitative food frequency questionnaire (FFQ). The Iranian-validated version of Hospital Anxiety and Depression Scale (HADS) was used to screen for anxiety and depression. The General Health Questionnaire (GHQ) was used to assess psychological distress. RESULTS: The prevalence of depression, anxiety, and high psychological distress among the study population was 30.0, 15.2, and 25.0%, respectively. Women in the top quintile of fruit intake, compared with those in the bottom quintile, had 57, 50, and 60% lower odds of depression, anxiety, and psychological distress. Consumption of vegetables was significantly associated with lower odds of depression (OR 0.65; 95% CI 0.46, 0.93) in women and lower odds of anxiety (OR 0.43; 95% CI 0.22, 0.87) in men. In addition, after adjustment for potential confounders, women in the highest quintile of fruit and vegetables intake, compared with those in the bottom quintile, had significantly lower odds of depression (OR 0.55; 95% CI 0.37, 0.80) and psychological distress (OR 0.60; 95% CI 0.40, 0.90). Furthermore, high intake of total fruit and vegetables was associated with lower odds of psychological distress (OR 0.42; 95% CI 0.21, 0.81) in men. CONCLUSION: We found significant inverse associations between high intake of fruit with depression, anxiety, and psychological distress in Iranian women. High consumption of vegetables was also associated with lower risk of depression and anxiety, respectively, in women and men. In addition, high intake of total fruit and vegetable was associated with lower odds of depression and psychological distress in women and men. SN - 1436-6215 UR - https://www.unboundmedicine.com/medline/citation/29508137/Consumption_of_fruit_and_vegetables_in_relation_with_psychological_disorders_in_Iranian_adults_ L2 - https://dx.doi.org/10.1007/s00394-018-1652-y DB - PRIME DP - Unbound Medicine ER -